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Exam Code: AMB-BC
Certification Name: Ambulatory Care Nursing Board Certified
Administered by: American Nurses Credentialing Center (ANCC)
Number of Questions: 150 (including 25 unscored pretest questions)
Scored Questions: 125
Question Format: Multiple-choice (single best answer)
Time Allotted: 3 hours (180 minutes)
Passing Standard: Scaled score of 350 (on a scale of 0-500)
Exam Delivery: Computer-based testing (Pearson VUE test centers or online proctored)

- Disease Process (e.g., acute, chronic)
- Medications
- Preventative care/health promotion
- Expected outcomes (e.g., optimal health indicators)

- Treatment evaluation
- Triage (e.g., in-person, virtual, telehealth)
- Physical and psychosocial exam
- Clinical data interpretation (e.g., documentation and chart review)

- Care coordination (e.g., patient resources, population management)
- Disease-specific interventions
- Clinical tasks (e.g., procedures, point of care testing, wound care)

- Scope and Standards of Practice (i.e., ANA, AAACN, legal and regulatory bodies)
- Professional development
- Fiscal health (i.e., reimbursement, resource allocation, billable services)
- Patient, family, and staff advocacy
- Leadership (e.g., risk management, process improvement)
- Safety and security (e.g., incident reporting, disaster training, safety rounds, root cause analysis)

- Modes of educational delivery
- Diverse populations
- Communication barriers (e.g., language, technology, cognitive/sensory disabilities, health literacy)
- Professional communication (e.g., building trust, therapeutic communication, conflict resolution)

- Chronic Disease Management: Diabetes, hypertension, COPD, heart failure
- Acute Care in Ambulatory Settings: Minor injuries, infections, asthma exacerbations
- Health Promotion & Disease Prevention: Immunizations, screenings (mammograms, colonoscopies), smoking cessation
- Medication Management: Polypharmacy, adherence, reconciliation
- Telehealth & Remote Monitoring: Virtual visits, RPM (Remote Patient Monitoring), mHealth
- Wound Care: Basic wound exam, sterile techniques, diabetic foot care
- Pain Management: Non-opioid strategies, NSAIDs, referral to pain specialists

- Care Transitions: Hospital-to-home, SNF (Skilled Nursing Facility) coordination
- Interprofessional Collaboration: Roles of PCPs, specialists, social workers, pharmacists
- Patient Navigation: Helping patients access resources, overcoming barriers
- Discharge Planning: Follow-up appointments, medication education
- Referral Management: Timely specialist referrals, tracking consults

- Health Literacy: Teach-back method, plain language
- Self-Management Education: Diabetes self-care, inhaler techniques
- Cultural Competency: Addressing disparities, language interpreters
- Motivational Interviewing: OARS (Open-ended questions, Affirmations, Reflections, Summaries)
- Advocacy: Ensuring patient rights, ethical decision-making

- Evidence-Based Practice (EBP): Implementing clinical guidelines
- Quality Metrics: HEDIS (Healthcare Effectiveness Data and Information Set), CAHPS (Consumer Assessment of Healthcare Providers and Systems)
- Patient Safety: Fall prevention, medication errors, infection control
- Root Cause Analysis (RCA): Identifying system failures
- Regulatory Compliance: HIPAA, OSHA, Joint Commission standards

- Scope of Practice: State nursing regulations, delegation to LPNs/MA
- Ethical Issues: Informed consent, patient autonomy
- Leadership Skills: Conflict resolution, team communication
- Professional Development: Certification maintenance, continuing education (CE)
- Healthcare Economics: Value-based care, bundled payments

- Ambulatory Care: Outpatient clinics, urgent care, telehealth
- Population Health: Risk stratification, preventive care
- SBAR (Situation-Background-Assessment-Recommendation): Communication tool
- ACO (Accountable Care Organization): Value-based care model
- EHR (Electronic Health Record): Documentation, interoperability